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Permit
CITY TIGARD MECHANICAL PERMIT *- w� DEVELOPMENT SERVICES PERMIT #: MEC2000 -00260 - II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 07/05/2000 PARCEL: 1 S135BA -00102 SITE ADDRESS: 10218 SW WASHINGTON SQUARE RD C9 -11 SUBDIVISION: OAKBURG ZONING: C -G BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: 1 > 10000 cfm: GAS OUTLETS: Remarks: Mechanical work associated with tenant improvement to convert existing Pizza Hut restaurant into Starbucks Coffee. Owner: FEES PPR SQUARE TOO LLC Type By Date Amount Receipt BY MACERICH COMPANY PRMT DST 07/05/20C $50.00 0003442 ATTN: JANET FISHER, ASSET MGMT PLCK DST 07/05/200 $12.50 0003442 SANTA MONICA, CA 90407 5PCT DST 07/05/20C $4.00 0003442 Phone: Total $66.50 Contractor: BEWLEY MECHANICAL 5591 SW ARCTIC DR BEAVERTON, OR 97005 REQUIRED INSPECTIONS Mechanical lnsp Phone: 626 -8986 S.D. Shut -down inspection Reg #: LIC 000635 Final Inspection P� 0 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (5 246- 89. Issue : P ermittee Signature: 1a / Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day '- '1 c' CITY OF TIGARD Mechanical Permit Application Plan i �„ � .� td � � „ Pp Recd By y 1- 3125 HALL BLVD. Commercial and Residential Date Recd -F• e '2a TIGARD, OR 97223 Date to P.E. 4 -00 (503) 639 -4171, x304 Date to DST Print or Type Permit #tl� -Q°o'� D Incomplete or illegible applications will not be accepted Called Name of Development/Project Description LJAS14. Scowiz.,s _ Ito -cal- 45uGICs Table 1A Mechanical Code Qty Price Amt Job Street Address Suite# , A) Permit Fee 16.00 Address 102-t („ J ) QS-1 S I( C-14-- 1) Furnace to 100,000 BTU I Bldg# city /state Zip including ducts & vents see footnote 1,2 9.65 Bldgd city /state Zip 2) Furnace 100,000 BTU+ 6A4Z- 0 9-- including ducts & vents see footnote 1,2 12.00 Name (or name of business) 3) Floor Furnace Owner (n4G -4 (z, including vent see footnote 1,2 9.65 Mailing Address 4) Suspended heater, wall heater or floor mounted heater see footnote 1,2 9.65 'Z �� 'FL-K2-4- 5) Vent not included in appliance permit 4.75 City/State Zip - Phone Check all that apply: 'Boiler Heat Air For items 6 -10, see or Pump Cond Qty Price Amt WA G �GP G t � � -3.6,01 1,2 Comp om Name (or name of business) f p 6) <3HP;absorb unit to STIW b et 100K BTU 9.65 Occupant Mailing Address 7) 3-15 HP;absorb unit 2)-10( Or-pt-1. d CD 103- 100k to 500k BTU 17.65 City /State Zip Done 8) 15-30 HP; absorb g 1 � c T I G � unit .5-1 mil BTU 24.15 C ` l�A 0 9) 30-50 HP; absorb Contractor Name �` �, / unit 1 -1.75 mil BTU 36.00 `� 177 L i, t y H ee ti - 10) >50HP; absorb unit Prior to permit Mailing Address >1.75 mil BTU 60.15 issuance, a copy 11 Air handling unit to 10,000 CFM } of all licenses City/State Zip Phone � /�/� I .00 are required if ( t50 12) Air handling unit 10,000 CFM+ expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 11.75 database 13) Non - portable evaporate cooler Architect Name 7.00 0 -1,s3-0 6 • 14) Vent fan connected to a single duct or Mailing Address 4.75 - Q3 , e1-- 040 - >EDZI- -54-Arc 15) Ventilation system not included in appliance permit 7.00 Engineer City /stare Zip i,�e 8t s 16) Hood served by mechanical exhaust ��5 v, lltz o4 y 8 2,3 2.3 7.00 Describe work to be done: 17) Domestic incinerators 12.00 New 0 Repair 0 Replace with like kind: Yes)1$ No O 18) Commercial or industrial type incinerator Residential 0 Commercial 48.25 19) Repair units Additional information or description of work: 8.40 20) Wood stove /gas FP /other units /clothe dryer /etc. 7.00 NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets structural gas cal s. See footnote 1 1 3.75 Type of fuel: oil 0 natural gas et LPG 0 electric 0 22) More than 4 -per outlet (each) .75 Minimum Permit Fee $50.00 SUBTOTAL MN wawa I hereby acknowledge that I have read this application, that the information 7% SURCHARGE - MOM given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL IIIII the owner, that plans submitte• are in compliance with Oregon State laws. Required for ALL commercial permits only / / TOTAL Signs re Own / 1!, . Date dr /�, 2 -� �) Other Inspections and Fees: L J 1. Inspections outside of normal business hours ( mininum charge -two Conte erson 'ame Phone hours) $50.00 per hour [mil , ' J _ �� ` _ Nc4ic, z I Z . S 3 412 98 2. Inspections for which no fee is specifically Indicated (minimum _ charge -half hour) $50.00 per hour Foonotes for commercial projects only: 3. Additional plan review required by changes, additions or revisions to 1. Provide full schematic of existing and proposed gas line and pressure. plans (minimum charge -one -half hour) $50.00 per hour 2. Provide drawings to scale showing existing and proposed mechanical units. 'State Contractor Boiler Certification required "Residential A/C requires site plan showing placement of unit I:\mechperm.doc rev 02/4/99 CITY OF TIGARD BUILDING INSPECTION DIVISION MST • ` 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested /0 r7 AM PM BLD Location /0 2./Y 5 i 41 Suite 2e-i, u - ov a6 0 Contact Person Ph Ael PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab \ �� Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART lakhfUllai:zzb Post & Beam Rough In Gas Line Smoke Dampers ifilr PART FAIL / CTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date �© Inspector _ Ext Other C / Final PASS PART FAIL DO NOT REMOVE this inspection rec ' rd from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 - BUP _i,.i "0 .73 - / J ao /' Date Requested . 5 1 c?/� 00 AM PM BL, _ _ r' Location / ';-1 a U' DR Suite 24 .4k1 24 .4k1 i1 Contact Person t� Ph [ '2 b g486 - • Contractor ' ,/ Ph SWR BUILDING Tenant/Owner ,-- ` iYr Pl elG7 ELC Retaining Wall ELR Footing t Access Foundation "a/ FPS Ftg Drain ✓ _ . �lr� ;111 ,1 �6 Crawl Drain Insp- ••n 'o SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final ! PASS PART FAIL PLUMBING Post & Beam 0A042115— Under Slab Top Out Water Service ` / c) Sanitary Sewer Rain Drains Final PASS PART FAIL C�� • Pos Smoke Dampers PART FAIL • - ICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: __ [ ] Unable to inspect - no access ADA Approach /Sidewalk �) Other Date C J Z/ V C jnspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 4217 ROI/a - 0 0 4. 2 3C Date Requested •5 I 2 — AM >4 PM T d a ZZ `f Location /1/ 21 r S 4, Gvee4A S, Suite J -lO - / 1 404,20Z -Qo -4 0 Contact Person Ph ,G - � ZV PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear ramin nsulation 1 I a f � Drywall Nailing Firewall 6 >11 <I-wwe Sprin" k1E). Fire Alarm � Jl/ /� T- � 1 !3- Susp'd Ceiling �, V� �CJ • Roof Misc: C - S / Final PASS to FAIL PLUMB! ` Post & Beam \ \ �\0° Under Slab Top Out v, Water Service V Sanitary Sewer b Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam as Line Smoke Dampers Final PASS AR FAIL ELECTRI Service p0 Rough In 6\" p UG /Slab l Low Voltage 17 K V/ Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line , [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA G (51 Approach /Sidewalk D D � 0 a InS actor E Xi-� Other p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.